1  622 237 DEVELOPMENT, VALIDATION, AND FEASIBILITY TESTING OF A YOGA MODULE FOR OPIOID USE DISORDER. CONTEXT: OPIOID USE DISORDER (OUD) INVOLVES EXCESSIVE USE OF OPIOIDS-SUCH AS HEROIN, MORPHINE, FENTANYL, CODEINE, OXYCODONE, AND HYDROCODONE-LEADING TO MAJOR HEALTH, SOCIAL, AND ECONOMIC CONSEQUENCES. YOGA LIFESTYLE INTERVENTIONS HAVE BEEN FOUND TO BE USEFUL AS ADJUNCT THERAPIES IN MANAGEMENT OF SUBSTANCE USE DISORDERS AND CHRONIC PAIN CONDITIONS. OBJECTIVE: THE RESEARCH TEAM INTENDED TO DEVELOP, VALIDATE, AND TEST FOR FEASIBILITY A YOGA PROGRAM FOR OUD PATIENTS THAT COULD REDUCE OPIATE WITHDRAWAL SYMPTOMS-SUCH AS PAIN, FATIGUE, LOW MOOD, ANXIETY AND SLEEP DISTURBANCES-AND CRAVINGS ASSOCIATED WITH DRUGS. DESIGN: THE RESEARCH TEAM FIRST PERFORMED A LITERATURE REVIEW OF TRADITIONAL AND CONTEMPORARY YOGA TEXTS, SUCH AS HATHA YOGA PRADIPIKA AND LIGHT ON YOGA, AS WELL AS MODERN SCIENTIFIC LITERATURE IN THE FOLLOWING SEARCH ENGINES-GOOGLE SCHOLAR, PUBMED, AND PSYCHINFO, USING THE KEYWORDS YOGA, PRANAYAMA, HATHA YOGA, RELAXATION. MEDITATION, SUBSTANCE USE, ADDICTION, IMPULSIVITY, CRAVING, SLEEP QUALITY, AND FATIGUE. USING THE INFORMATION OBTAINED, THE TEAM DEVELOPED A YOGA PROGRAM AND DESIGNED A PILOT STUDY THAT USED THE PROGRAM. SETTING: THE STUDY TOOK PLACE IN THE DEPARTMENT OF INTEGRATIVE MEDICINE AT THE NATIONAL INSTITUTE OF MENTAL HEALTH AND NEUROSCIENCES (NIMHANS) IN BANGALORE, INDIA. PARTICIPANTS: PARTICIPANTS IN THE PILOT STUDY WERE 8 INPATIENTS, 6 MALES AND 2 FEMALES, WHO WERE ON OPIOID AGONIST TREATMENT (BUPRENORPHINE) FOR OUD. INTERVENTION: THE INTERVENTION WAS THE YOGA PROGRAM PREVIOUSLY VALIDATED BY THE RESEARCH TEAM. IN THE PILOT STUDY, PARTICIPANTS WERE TAUGHT A ONE-HOUR, YOGA-BASED INTERVENTION, WITH SESSIONS OCCURRING ONCE PER DAY, FOR 10 SESSIONS. OUTCOME MEASURES: FOR VALIDATION, 13 EXPERTS SCORED THE YOGA PROGRAM THAT THE RESEARCH TEAM HAD DEVELOPED AND GAVE SUGGESTIONS FOR EACH YOGIC PRACTICE FOR USE DURING THE ACUTE PHASE OF WITHDRAWAL AND THE MAINTENANCE PHASE RESPECTIVELY. A CONTENT VALIDITY RATIO (CVR) WAS CALCULATED FROM THEIR SCORING, AND THE RESEARCH TEAM MADE CHANGES TO THE PROGRAM BASE ON THE SCORING AND SUGGESTIONS. FOR THE PILOT STUDY, ASSESSMENTS OCCURRED AT BASELINE AND POSTINTERVENTION. THE PARTICIPANTS' YOGA PERFORMANCE WAS RATED BY THE YOGA TRAINER ON A YOGA PERFORMANCE ASSESSMENT SCALE (YPA). OTHER MEASUREMENTS INCLUDED: (1) THE CLINICAL OPIATE WITHDRAWAL SCALE (COWS), (2) THE HAMILTON'S ANXIETY RATING SCALE (HAM-A), (3) THE HAMILTON'S DEPRESSION RATING SCALE (HAM-D), (4) BUPRENORPHINE DOSAGE, (5) THE CLINICAL GLOBAL IMPRESSION SEVERITY (CGI-S) SCALE, (6) A VISUAL ANALOG SCALE (VAS) FOR PAIN, (7) SLEEP QUALITY (LATENCY AND DURATION), AND (8) THE MODULE'S SAFETY. RESULTS: FOUR PRACTICES WERE REMOVED FROM THE PROGRAM DUE TO CVR SCORES BELOW THE CUTOFF, AND ONE PRACTICE WAS FOUND NOT TO BE FEASIBLE (KAPALABHATI). TWO CATEGORIES OF YOGA MODULES EMERGED: (1) FOR THE ACUTE SYMPTOMATIC PHASE (40 MINUTES) AND (2) FOR THE MAINTENANCE PHASE (ONE HOUR). PRACTICES WERE ADDED OR EXCLUDED BASED ON THE PHASE. CONCLUSIONS: THE YOGA MODULE THAT WAS DEVELOPED FOR REDUCING WITHDRAWAL SYMPTOMS AND CRAVINGS IN OUD PATIENTS WAS FOUND TO BE SAFE, FEASIBLE, AND POTENTIALLY USEFUL AS AN ADJUNCT THERAPY TO CONVENTIONAL TREATMENT.	2021	

2  585  63 DESIGNING, VALIDATION, AND FEASIBILITY OF INTEGRATED YOGA THERAPY MODULE FOR CHRONIC LOW BACK PAIN. CONTEXT: CHRONIC LOW BACK PAIN (CLBP) IS A SIGNIFICANT PUBLIC HEALTH PROBLEM THAT HAS REACHED EPIDEMIC PROPORTIONS. YOGA THERAPY HAS EMERGED AS ONE OF THE COMPLEMENTARY AND ALTERNATIVE THERAPIES FOR CLBP. AIM: THE PRESENT STUDY REPORTS THE DEVELOPMENT, VALIDATION, AND FEASIBILITY OF AN INTEGRATED YOGA THERAPY MODULE (IYTM) FOR CLBP. SETTINGS AND DESIGN: THIS STUDY WAS CARRIED OUT AT THE SVYASA YOGA UNIVERSITY, BENGALURU, SOUTH INDIA. THE IYTM FOR CLBP WAS DESIGNED, VALIDATED, AND LATER TESTED FOR FEASIBILITY IN PATIENTS WITH CLBP. MATERIALS AND METHODS: IN THE FIRST PHASE, IYTM FOR CLBP WAS DESIGNED BASED ON THE LITERATURE REVIEW OF CLASSICAL TEXTS AND RECENTLY PUBLISHED RESEARCH STUDIES. IN THE SECOND PHASE, DESIGNED IYTM (26 YOGA PRACTICES) WAS VALIDATED BY THIRTY SUBJECT MATTER (YOGA) EXPERTS. CONTENT VALIDITY RATIO (CVR) WAS ANALYZED USING LAWSHE'S FORMULA. IN THE THIRD PHASE, THE VALIDATED IYTM (20 YOGA PRACTICES) WAS TESTED ON 12 PATIENTS FOR PAIN, DISABILITY AND PERCEIVED STRESS AT BASELINE AND AFTER 1-MONTH OF THIS INTERVENTION. RESULTS: A TOTAL OF 20 YOGA PRACTICES WITH CVR >/=0.33 WERE INCLUDED, 6 YOGA PRACTICES WITH CVR >/=0.33 WERE EXCLUDED FROM THE DESIGNED IYTM. THE FEASIBILITY STUDY WITH VALIDATED IYTM SHOWED SIGNIFICANT REDUCTION IN NUMERICAL PAIN RATING SCALE (P = 0.02), OSWESTRY DISABILITY SCALE (P = 0.02), AND PERCEIVED STRESS SCALE (P = 0.03). CONCLUSION: THE DESIGNED IYTM WAS VALIDATED BY THIRTY YOGA EXPERTS AND LATER EVALUATED ON A SMALL SAMPLE. THIS STUDY HAS SHOWN THAT THE VALIDATED IYTM IS FEASIBLE, HAD NO ADVERSE EFFECTS AND WAS USEFUL IN ALLEVIATING PAIN, DISABILITY, AND PERCEIVED STRESS IN PATIENTS WITH CLBP. HOWEVER, RANDOMIZED CONTROL TRIALS WITH LARGER SAMPLE ARE NEEDED TO STRENGTHEN THE STUDY.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3  596  67 DEVELOPMENT AND FEASIBILITY OF YOGA THERAPY MODULE FOR OUT-PATIENTS WITH DEPRESSION IN INDIA. CONTEXT: EVIDENCE SUGGESTS THAT CERTAIN YOGA PRACTICES ARE USEFUL IN THE MANAGEMENT OF DEPRESSION. TO THE BEST OF OUR KNOWLEDGE, THERE HAS BEEN NO STUDY THAT DEALS WITH THE FORMULATION OF A YOGA MODULE FOR THE PARTICULAR CLINICAL FEATURES OF DEPRESSION. AIM: THE MAIN AIM OF OUR STUDY WAS TO DEVELOP A COMPREHENSIVE YOGA THERAPY MODULE TARGETING SPECIFIC CLINICAL FEATURES OF DEPRESSION. SETTINGS AND DESIGN: SPECIFIC YOGA PRACTICES WERE MATCHED FOR CLINICAL FEATURES OF DEPRESSION BASED ON A THOROUGH LITERATURE REVIEW. A YOGA PROGRAM WAS DEVELOPED, WHICH CONSISTED OF SUKSMAVYAYAMA, (LOOSENING EXERCISES), ASANAS (POSTURES), RELAXATION TECHNIQUES, PRANAYAMA (BREATHING EXERCISES) AND CHANTING MEDITATION TO BE TAUGHT IN A 2 WEEK PERIOD. MATERIALS AND METHODS: A STRUCTURED QUESTIONNAIRE WAS DEVELOPED FOR VALIDATION FROM NINE EXPERIENCED YOGA PROFESSIONALS. THE FINAL VERSION OF YOGA THERAPY MODULE WAS PILOT-TESTED ON SEVEN PATIENTS (FIVE FEMALES) WITH DEPRESSION RECRUITED FROM OUTPATIENT SERVICE OF NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO SCIENCES, BANGALORE. RESULTS: THE FINAL YOGA THERAPY MODULE HAD THOSE PRACTICES THAT RECEIVED A SCORE OF THREE OR MORE (MODERATELY/VERY MUCH/EXTREMELY USEFUL) FROM ALL RESPONDERS. SIX OUT OF NINE (>65%) EXPERTS SUGGESTED SUKSMAVYAYAMA SHOULD BE INCLUDED. FIVE OUT OF NINE EXPERTS OPINED THAT TRAINING WITH 10 SESSIONS (OVER 2 WEEKS) IS RATHER SHORT. ALL EXPERTS OPINED THAT THE MODULE IS EASY TO TEACH, LEARN AND PRACTICE. AT THE PILOT STAGE, THE FIVE PATIENTS WHO COMPLETED THE MODULE REPORTED MORE THAN 80% SATISFACTION ABOUT THE YOGA PRACTICES AND HOW THE YOGA WAS TAUGHT. SEVERITY OF DEPRESSION SUBSTANTIALLY REDUCED AT BOTH 1 AND 3 MONTHS FOLLOW-UP. CONCLUSION: THE DEVELOPED COMPREHENSIVE YOGA THERAPY MODULE WAS VALIDATED BY EXPERTS IN THE FIELD AND WAS FOUND TO BE FEASIBLE AND USEFUL IN PATIENTS WITH DEPRESSION.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
4  620  58 DEVELOPMENT, VALIDATION, AND FEASIBILITY OF A GENERIC YOGA-BASED INTERVENTION FOR GENERALIZED ANXIETY DISORDER. CONTEXT: EVIDENCE SUGGESTS THAT YOGA EFFECTIVELY MANAGES ANXIETY, BUT TECHNIQUES ARE DERIVED FROM DIFFERENT YOGA SCHOOLS. THIS PAPER DESCRIBES THE DEVELOPMENT, VALIDATION, AND FEASIBILITY OF A GENERIC YOGA-BASED INTERVENTION IN PATIENTS WITH GENERALIZED ANXIETY DISORDER (GAD). METHODS: THE FIRST PART OF THE STUDY CONSISTED OF DESIGNING A GENERIC YOGA MODULE FROM THE TRADITIONAL AND CONTEMPORARY YOGIC LITERATURE AND INPUTS FROM TEN EXPERIENCED YOGA PRACTITIONERS. THE CONTENT WAS VALIDATED USING A CASE-VIGNETTE METHOD FROM 28 YOGA EXPERTS. THESE YOGA EXPERTS RATED THE USEFULNESS OF THE PRACTICES ON A SCALE OF 1-5 (5-EXTREMELY USEFUL). THE SECOND PART CONSISTED OF TESTING THE FEASIBILITY OF THIS VALIDATED GENERIC YOGA INTERVENTION IN AN OPEN-LABEL CLINICAL TRIAL IN PATIENTS WITH GAD. TWO WEEKS OF TEN SUPERVISED YOGA SESSIONS (SYS) WERE OFFERED BY A TRAINED YOGA THERAPIST TO THE RECRUITED PARTICIPANTS AND SUBSEQUENTLY ADVISED FOR HOME PRACTICE. A WEEKLY BOOSTER SYS WAS ALSO PROVIDED FOR THREE MONTHS AFTER 10SYS. RESULTS: YOGA EXPERTS (N = 28) OPINED THAT THE YOGA INTERVENTION WOULD BE HELPFUL IN PATIENTS WITH GAD WITH MINIMAL MODIFICATIONS. ALL EXPERTS OPINED THAT THE MODULE WAS EASY TO TEACH, LEARN AND PRACTICE. THE FINAL YOGA MODULE RETAINED 97.7% (42 OUT OF 43) ITEMS OF THE INITIAL MODULE. IN THE FEASIBILITY STUDY, (N = 20) PATIENTS WERE RECRUITED, AND FIFTEEN FOLLOWED-UP AFTER ONE MONTH. ALL PATIENTS WERE ABLE TO LEARN AND PRACTICE THE FINAL YOGA MODULE WITHIN TEN SESSIONS WITHOUT ANY SIGNIFICANT ADVERSE EFFECTS. THE SEVERITY OF ANXIETY REDUCED SUBSTANTIALLY AFTER THE TEN DAYS OF SYS AND THIS IMPROVEMENT WAS SUSTAINED FOR THE NEXT 4 WEEKS. CONCLUSION: THE DESIGNED GENERIC YOGA INTERVENTION WAS VALIDATED BY YOGA EXPERTS AND FOUND SAFE AND FEASIBLE IN PATIENTS WITH GAD. PATIENTS OBTAINED SIGNIFICANT SYMPTOM REDUCTIONS WHICH NEED TO BE CONFIRMED IN RANDOMIZED CONTROLLED TRIALS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
5 2723  68 YOGA MODULE FOR SOMATOFORM PAIN DISORDERS: DEVELOPMENT, CONTENT VALIDATION, AND FEASIBILITY TESTING. BACKGROUND: YOGA PRACTICES HAVE BEEN FOUND TO BE USEFUL IN CHRONIC PAIN CONDITIONS BUT STUDIES FOCUSSING SPECIFICALLY ON SOMATOFORM PAIN DISORDERS (SPDS) ARE LIMITED. AIMS: CURRENT STUDY AIMS TO DEVELOP AND TEST THE FEASIBILITY OF A YOGA PROGRAM FOR PATIENTS WITH SPDS. MATERIALS AND METHODOLOGY: ATHOROUGH SEARCH OF TRADITIONAL AND CONTEMPORARY LITERATURE WAS PERFORMED WITH THE OBJECTIVE OF FORMULATING A YOGA PROGRAM FOR REDUCING CHRONIC NON-SPECIFIC PAIN AND ASSOCIATED PSYCHOLOGICAL DISTRESS. CONTENT VALIDITY OF THE PROGRAM WAS THEN DETERMINED BY TAKING THE OPINION OF 18 YOGA EXPERTS (WHO HAD >5 YEARS OF EXPERIENCE IN TREATING MENTAL HEALTH DISORDERS) USING CONTENT VALIDATION RATIO (CVR) THROUGH LAWSHE'S FORMULA. THE FEASIBILITY OF THE MODULE WAS TESTED ON 10 SUBJECTS DIAGNOSED WITH SPDS AS PER THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD) -10 CRITERIA USING STANDARD SCALES. RESULTS: IN THE FINALIZED MODULE, 70.83% (34 OUT OF 48 ITEMS) OF THE PRACTICES WERE RETAINED ALONG WITH THE MODIFICATIONS AS SUGGESTED BY THE EXPERTS. TWO PRACTICES WERE NOT FOUND TO BE FEASIBLE (TRIKONASANA AND SHALABHASANA) AND HENCE WERE REMOVED FROM THE FINAL MODULE. A SIGNIFICANT REDUCTION IN PAIN SEVERITY WAS OBSERVED IN THE SUBJECTS AFTER PRACTISING THE YOGA MODULE FOR 2 WEEKS. THE CONTENT VALIDITY INDEX FOR THE WHOLE MODULE (AVERAGE OF ALL CVRS) WAS 0.55. CONCLUSIONS: AYOGA MODULE WAS DEVELOPED FOR SPD. THE CONTENT VALIDITY OF THE MODULE WAS FOUND TO BE GOOD. THE MODULE WAS FOUND SAFE AND POTENTIALLY USEFUL FOR REDUCING PAIN SEVERITY IN PATIENTS WITH SPD. FUTURE STUDIES SHOULD TEST THE EFFICACY OF THE DEVELOPED PROGRAM THROUGH A RANDOMIZED CONTROLLED CLINICAL TRIAL.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
6  621  60 DEVELOPMENT, VALIDATION, AND FEASIBILITY OF A SCHOOL-BASED SHORT DURATION INTEGRATED CLASSROOM YOGA MODULE: A PILOT STUDY DESIGN. BACKGROUND: THE PRACTICE OF YOGA IS PROVEN TO HAVE PHYSICAL, COGNITIVE AND EMOTIONAL BENEFITS FOR SCHOOL CHILDREN. DESPITE THIS MANY SCHOOLS DO NOT INCLUDE YOGA IN THEIR DAILY SCHEDULE. THE REASONS CITED ARE LACK OF TIME AND RESOURCES. TO OVERCOME THESE PROBLEMS THE PRESENT STUDY AIMED TO DEVELOP AND VALIDATE A SHORT DURATION INTEGRATED CLASSROOM YOGA MODULE. THE DESIGN GUIDELINES WERE THAT IT SHOULD BE POSSIBLE TO PRACTICE IN THE CLASSROOM ENVIRONMENT AND THAT IT COULD BE LED BY THE CLASS TEACHER. IN THIS WAY THE MODULE WOULD OVERCOME THE PROBLEM OF BOTH TIME AND RESOURCE. MATERIALS AND METHODS: THE STUDY HAD TWO MAIN PHASES. IN THE FIRST PHASE, SELECTED ICYM PRACTICES BASED ON THE LITERATURE REVIEW WERE VALIDATED BY 21 SUBJECT MATTER EXPERTS USING LAWHSE'S CONTENT VALIDITY RATIO (CVR) FORMULA. IN THE SECOND PHASE, A PILOT STUDY USING A PAIRED SAMPLE PREPOST MEASUREMENT DESIGN WAS CARRIED OUT ON 49 HIGH SCHOOL CHILDREN. THE STUDY WAS CONDUCTED IN JUNE 2019. THE INTERVENTION PERIOD WAS 1 MONTH, AND THE TEST VARIABLES WERE PHYSICAL FITNESS, COGNITIVE PERFORMANCE, SELF-ESTEEM, EMOTIONAL WELL-BEING, AND PERSONALITY CHARACTERISTIC. PAIRED SAMPLE T-TEST WAS THE ANALYSIS TOOL AND THE SOFTWARE USED WAS THE STATISTICAL PACKAGE FOR THE SOCIAL SCIENCE VERSION 26. RESULTS: IN THE LAWSHE'S CVR ANALYSIS, 17 OUT OF THE 24 PRACTICES TESTED WERE RATED BY EXPERTS AS ESSENTIAL AS WAS THE OVERALL MODULE (CVR SCORE >/=0.429). IN THE PILOT STUDY, THERE WERE SIGNIFICANT DIFFERENCES IN THE POSTMEAN SCORES COMPARED TO PREMEAN SCORES, FOR ALL THE 4 EUROFIT PHYSICAL FITNESS TESTING BATTERY TESTS (P < 0.02), ALL THE THREE SCORES OF THE STROOP COLOR-WORD NAMING TASK (P < 0.001) AND THE ROSENBERG SELF-ESTEEM SCALE (P < 0.008). CONCLUSION: ICYM WAS VALIDATED AND FOUND FEASIBLE BY THE PRESENT STUDY. IT WAS FOUND TO HAVE A STATISTICALLY SIGNIFICANT IMPACT ON PHYSICAL FITNESS, COGNITIVE PERFORMANCE, AND SELF-ESTEEM VARIABLES. HOWEVER, A RANDOMIZED CONTROL TRIAL WITH A LONGER INTERVENTION PERIOD IS NEEDED TO STRENGTHEN THE PRESENT STUDY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
7  583  60 DESIGNING, VALIDATION AND FEASIBILITY OF A YOGA-BASED INTERVENTION FOR ELDERLY. CONTEXT: AGEING IS AN UNAVOIDABLE FACET OF LIFE. YOGIC PRACTICES HAVE BEEN REPORTED TO PROMOTE HEALTHY AGING. PREVIOUS STUDIES HAVE USED EITHER YOGA THERAPY INTERVENTIONS DERIVED FROM A PARTICULAR SCHOOL OF YOGA OR HAVE TESTED SPECIFIC YOGIC PRACTICES LIKE MEDITATION. AIMS: THIS STUDY REPORTS THE DEVELOPMENT, VALIDATION AND FEASIBILITY OF A YOGA-BASED INTERVENTION FOR ELDERLY WITH OR WITHOUT MILD COGNITIVE IMPAIRMENT. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED AT THE ADVANCED CENTRE FOR YOGA, NATIONAL INSTITUTE FOR MENTAL HEALTH AND NEUROSCIENCES, BANGALORE. THE MODULE WAS DEVELOPED, VALIDATED, AND THEN PILOT-TESTED ON VOLUNTEERS. MATERIALS AND METHODS: THE FIRST PART OF THE STUDY CONSISTED OF DESIGNING OF A YOGA MODULE BASED ON TRADITIONAL AND CONTEMPORARY YOGIC LITERATURE. THIS YOGA MODULE ALONG WITH THE THREE CASE VIGNETTES OF ELDERLY WITH COGNITIVE IMPAIRMENT WERE SENT TO 10 YOGA EXPERTS TO HELP DEVELOP THE INTENDED YOGA-BASED INTERVENTION. IN THE SECOND PART, THE FEASIBILITY OF THE DEVELOPED YOGA-BASED INTERVENTION WAS TESTED. RESULTS: EXPERTS (N=10) OPINED THE YOGA-BASED INTERVENTION WILL BE USEFUL IN IMPROVING COGNITION IN ELDERLY, BUT WITH SOME MODIFICATIONS. FREQUENT SUPERVISED YOGA SESSIONS, REGULAR FOLLOW-UPS, ADDITION/DELETION/MODIFICATIONS OF YOGA POSTURES WERE SOME OF THE SUGGESTIONS. TEN ELDERLY CONSENTED AND EIGHT COMPLETED THE PILOT TESTING OF THE INTERVENTION. ALL OF THEM WERE ABLE TO PERFORM MOST OF THE SUKSMAVYAYAMA, PRANAYAMA AND NADANUSANDHANA (MEDITATION) TECHNIQUE WITHOUT DIFFICULTY. SOME OF THE PARTICIPANTS (N=3) EXPERIENCED DIFFICULTY IN PERFORMING POSTURES SEATED ON THE GROUND. MOST OF THE OLDER ADULTS EXPERIENCED DIFFICULTY IN REMEMBERING AND COMPLETING ENTIRE SEQUENCE OF YOGA-BASED INTERVENTION INDEPENDENTLY. CONCLUSIONS: THE YOGA BASED INTERVENTION IS FEASIBLE IN THE ELDERLY WITH COGNITIVE IMPAIRMENT. TESTING WITH A LARGER SAMPLE OF OLDER ADULTS IS WARRANTED.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
8 1753  45 PILOTING YOGA AND ASSESSING OUTCOMES IN A RESIDENTIAL BEHAVIOURAL HEALTH UNIT. THIS STUDY EXAMINED IF ADOLESCENTS ON A RESIDENTIAL BEHAVIOURAL HEALTH UNIT WOULD PARTICIPATE IN A YOGA INTERVENTION. YOGA HAS BEEN USED AS A MIND-BODY PRACTICE FOR MORE THAN 2000 YEARS; HOWEVER, STUDIES ARE LIMITED REGARDING ITS EFFECTS ON ADOLESCENTS WITH MENTAL ILLNESS ON AN INPATIENT UNIT. YOGA WAS ADDED, TWICE WEEKLY, TO THE PROGRAM SCHEDULE. TRAIT EMOTIONAL INTELLIGENCE QUESTIONNAIRE-ADOLESCENT SHORT FORM (TEIQUE-ASF) SCORES WERE MEASURED OVER 8 WEEKS. ADDITIONAL MEASURES INCLUDED DAILY NUMBERS OF QUIET TIMES, TIME OUTS, AND POINT CARD SCORES. TWENTY-TWO ADOLESCENTS COMPLETED THE STUDY. THE TEIQUE-ASF ASSESSMENT WAS ABLE TO DETECT CHANGES IN TOTAL SCORES OVER 8 WEEKS. INCREASED YOGA PARTICIPATION WAS RELATED TO HIGHER VALUES OF THE TEIQUE-ASF SUBDOMAIN OF SOCIABILITY, INCREASE IN WEEKLY POINT CARD TOTALS, A DECREASE IN BEHAVIOURAL TIME OUTS, AND A DECREASE IN COMBINED BEHAVIOURAL INTERVENTIONS AT VARIOUS TIME POINTS THROUGHOUT THE PROGRAMME. THIS STUDY WAS RELEVANT BECAUSE IT WAS CONDUCTED ON AN ADOLESCENT INPATIENT UNIT. IT PROVIDES SUPPORT THAT YOGA, AS PART OF A RESIDENTIAL PROGRAMME, IS A FEASIBLE INTERVENTION FOR ADOLESCENTS WITH MENTAL ILLNESS. CHANGES IN THE VARIOUS MEASURES CANNOT BE DIRECTLY LINKED TO YOGA BECAUSE OF LACK OF A COMPARISON GROUP. ADDITIONAL STUDIES WITH A LARGER SAMPLE, AND RANDOMIZATION, ARE NEEDED TO EVALUATE THE POTENTIAL BENEFITS OF YOGA AND TO DETERMINE IF CHANGES TO THE TEIQUE-ASF CAN BE ATTRIBUTED TO YOGA OR OTHER BEHAVIOURAL-BASED INTERVENTIONS. LITTLE IS KNOWN ABOUT HOW YOGA WILL IMPACT BEHAVIOURAL HEALTH OUTCOMES FOR ADOLESCENTS WITH MENTAL ILLNESS IN AN INPATIENT SETTING. THIS STUDY EXAMINED IF ADOLESCENTS ON A RESIDENTIAL BEHAVIOURAL HEALTH UNIT WOULD PARTICIPATE IN A YOGA INTERVENTION TO ADDRESS EMOTIONAL REGULATION. A SINGLE COHORT STUDY DESIGN WAS USED. YOGA WAS ADDED TO THE PROGRAMME SCHEDULE TWICE WEEKLY. TRAIT EMOTIONAL INTELLIGENCE QUESTIONNAIRE-ADOLESCENT SHORT FORM (TEIQUE-ASF) SCORES AND ADDITIONAL BEHAVIOURAL MEASURES WERE TRACKED OVER 8 WEEKS. ADOLESCENTS PARTICIPATED IN YOGA, WITH A HIGHER PARTICIPATION RATE FOR GIRLS COMPARED WITH BOYS. THE TEIQUE-ASF ASSESSMENT DETECTED CHANGES IN TOTAL SCORE OVER 8 WEEKS. INCREASED YOGA PARTICIPATION WAS RELATED TO HIGHER VALUES OF THE TEIQUE-ASF SUBDOMAIN OF SOCIABILITY, INCREASE IN WEEKLY POINT CARD TOTALS, AND A DECREASE IN COMBINED BEHAVIOURAL INTERVENTIONS AT VARIOUS TIME POINTS THROUGHOUT THE PROGRAMME. THIS STUDY WAS RELEVANT BECAUSE IT WAS CONDUCTED ON AN ADOLESCENT INPATIENT UNIT. FURTHER STUDIES ARE NEEDED TO DETERMINE IF CHANGES CAN BE ATTRIBUTED TO YOGA OR OTHER BEHAVIOURAL-BASED INTERVENTIONS. IF SUPPORTED BY FURTHER STUDIES, YOGA HAS THE POTENTIAL TO BE A COMPLIMENTARY THERAPY THAT CAN BE INTEGRATED INTO THE MULTIDISCIPLINARY TREATMENT APPROACH FOR MENTAL HEALTH PATIENTS.	2015	
                                                                                                                                                                                                                                                                                                                                                                                          
9 2903  43 [HOW SHOULD YOGA IN ANOREXIA NERVOSA TREATMENT BE APPLIED? A QUALITATIVE PILOT STUDY ON YOGA STRATEGIES PERCEIVED TO BE BENEFICIAL FROM PATIENTS' PERSPECTIVE]. AN ALTERED INTEROCEPTION IS A CENTRAL CORRELATE OF ANOREXIA NERVOSA (AN) AND ADDRESSING THIS ISSUE OFFERS A PROMISING APPROACH IN THE TREATMENT OF AN. FIRST RESULTS HAVE SHOWN THE EFFECTIVENESS OF YOGA AS A BODY-FOCUSED INTERVENTION IN THE TREATMENT OF AN. HOWEVER, TO DATE THERE IS A LACK OF EMPIRICAL EVIDENCE REGARDING THE QUESTION HOW YOGA STRATEGIES AND YOGA ELEMENTS (POSTURES, RELAXATION, BREATH, MEDITATION) SHOULD BE APPLIED. AGAINST THIS BACKGROUND, WE CONDUCTED A QUALITATIVE PILOT STUDY WITH N=6 FEMALE PATIENTS WITH AN UNDERGOING TREATMENT IN A SPECIALIST UNIT SUPPORTING RE-INSERTION SUBSEQUENT TO A PRECEDING INPATIENT AN TREATMENT. STUDY PARTICIPANTS RECEIVED A WEEKLY ONE-HOUR HATHA-YOGA INTERVENTION OVER AT LEAST 12 WEEKS. AFTER THE YOGA INTERVENTION, SEMI-STRUCTURED INTERVIEWS (1/2 TO 1 HOUR) WERE CONDUCTED TO ASSESS THE EXPERIENCES OF THE STUDY PARTICIPANTS DURING THE YOGA INTERVENTION. THE DATA WERE ANALYZED USING GROUNDED THEORY. AT THE UPPER LEVEL OF ANALYSIS, FOUR CATEGORIES WERE DIFFERENTIATED: INFORMATION REGARDING 1) STUDY PARTICIPANTS' SYMPTOMS, 2) ASPECTS OF THE SETTING EXPERIENCED TO BE BENEFICIAL, 3) YOGA STRATEGIES PERCEIVED TO BE BENEFICIAL AND 4) PERCEIVED CONSEQUENCES OF YOGA STRATEGIES. WITH REGARD TO THE YOGA STRATEGIES PERCEIVED TO BE BENEFICIAL, ANALYSES REVEALED 4 SUBCATEGORIES: FEATURES OF 1) POSTURES AND MOVEMENTS, 2) BREATH AND MEDITATION EXERCISES, 3) RELAXATION EXERCISES AND 4) GENERAL INFORMATION ABOUT THE SETTING. THE RESULTS GIVE FIRST INDICATIONS REGARDING THE CONCEPTUALIZATION OF YOGA IN THE TREATMENT OF AN AND POTENTIAL MECHANISMS. FURTHER QUALITATIVE AND QUANTITATIVE STUDIES ARE NEEDED, E.G., WITH REGARD TO EFFECTIVENESS, CONTRAINDICATIONS, MEDIATORS OR MODERATORS TO BETTER EVALUATE THE POTENTIAL OF YOGA IN THE TREATMENT OF AN.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
10  595  48 DEVELOPMENT AND FEASIBILITY OF NEED-BASED YOGA PROGRAM FOR FAMILY CAREGIVERS OF IN-PATIENTS WITH SCHIZOPHRENIA IN INDIA. CONTEXT AND AIM: YOGA HAS BEEN FOUND TO BE EFFECTIVE IN THE MANAGEMENT OF STRESS. THIS PAPER DESCRIBES THE DEVELOPMENT OF A YOGA PROGRAM AIMED TO REDUCE BURDEN AND IMPROVE COPING OF FAMILY CAREGIVERS OF INPATIENTS WITH SCHIZOPHRENIA IN INDIA. MATERIALS AND METHODS: BASED ON THE ASSESSMENT OF CAREGIVER NEEDS, LITERATURE REVIEW, AND EXPERT OPINION, A TEN-DAY GROUP YOGA PROGRAM WAS INITIALLY DEVELOPED USING THE QUALITATIVE INDUCTIVE METHOD OF INQUIRY. EACH DAY'S PROGRAM INCLUDED WARM-UP EXERCISES, YOGIC ASANAS, PRANAYAMA, AND SATSANG. A STRUCTURED QUESTIONNAIRE ELICITING COMMENTS ON EACH DAY'S CONTENTS WAS GIVEN INDEPENDENTLY TO TEN EXPERIENCED YOGA PROFESSIONALS WORKING IN THE FIELD OF HEALTH FOR VALIDATION. THE FINAL VERSION OF THE PROGRAM WAS PILOT-TESTED ON A GROUP OF SIX CAREGIVERS OF IN-PATIENTS WITH SCHIZOPHRENIA ADMITTED AT NIMHANS, BANGALORE. RESULTS: ON THE QUESTION OF WHETHER THE PROGRAM WOULD HELP REDUCE THE BURDEN OF CAREGIVERS, SIX OF THE TEN EXPERTS (60%) GAVE A RANK OF FOUR OF FIVE (VERY MUCH USEFUL). BASED ON COMMENTS OF THE EXPERTS, SEVERAL CHANGES WERE MADE TO THE PROGRAM. IN THE PILOT-TESTING STAGE, MORE THAN 60% OF THE CAREGIVERS ASSIGNED A SCORE OF FOUR AND ABOVE (ON A FIVE-POINT LIKERT SCALE, FIVE BEING EXTREMELY USEFUL) FOR THE OVERALL PROGRAM, HANDOUTS DISTRIBUTED, AND PERFORMANCE OF THE TRAINER. QUALITATIVE FEEDBACK OF THE CAREGIVERS FURTHER ENDORSED THE FEASIBILITY AND USEFULNESS OF THE PROGRAM. CONCLUSION: THE DEVELOPED YOGA PROGRAM WAS FOUND TO BE ACCEPTABLE TO CAREGIVERS OF IN-PATIENTS WITH SCHIZOPHRENIA.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
11 1512  32 IS THERE MORE TO YOGA THAN EXERCISE? CONTEXT: YOGA IS INCREASING IN POPULARITY, WITH AN ESTIMATED 15 MILLION PRACTITIONERS IN THE UNITED STATES, YET THERE IS A DEARTH OF EMPIRICAL DATA ADDRESSING THE HOLISTIC BENEFITS OF YOGA. OBJECTIVE: TO COMPARE THE PHYSICAL AND MENTAL BENEFITS OF AN EXERCISE-BASED YOGA PRACTICE TO THAT OF A MORE COMPREHENSIVE YOGA PRACTICE (ONE WITH AN ETHICAL/SPIRITUAL COMPONENT). DESIGN: STUDENTS WITH MILD TO MODERATE DEPRESSION, ANXIETY, OR STRESS AND WHO AGREED TO PARTICIPATE WERE ASSIGNED TO ONE OF THREE GROUPS: INTEGRATED YOGA, YOGA AS EXERCISE, CONTROL. PARTICIPANTS: A TOTAL OF 81 UNDERGRADUATE STUDENTS 18 YEARS AND OLDER AT A UNIVERSITY IN THE SOUTHEASTERN UNITED STATES PARTICIPATED IN THE STUDY. MAIN OUTCOME MEASURES: DEPRESSION, ANXIETY, STRESS, HOPE, AND SALIVARY CORTISOL. RESULTS: OVER TIME, PARTICIPANTS IN BOTH THE INTEGRATED AND EXERCISE YOGA GROUPS EXPERIENCED DECREASED DEPRESSION AND STRESS, AN INCREASED SENSE OF HOPEFULNESS, AND INCREASED FLEXIBILITY COMPARED TO THE CONTROL GROUP. HOWEVER, ONLY THE INTEGRATED YOGA GROUP EXPERIENCED DECREASED ANXIETY-RELATED SYMPTOMS AND DECREASED SALIVARY CORTISOL FROM THE BEGINNING TO THE END OF THE STUDY. CONCLUSIONS: YOGA, PRACTICED IN A MORE INTEGRATED FORM, IE, WITH AN ETHICAL AND SPIRITUAL COMPONENT, MAY PROVIDE ADDITIONAL BENEFITS OVER YOGA PRACTICED AS AN EXERCISE REGIMEN.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
12 1701  42 PARTICIPATION IN A YOGA STUDY DECREASES STRESS AND DEPRESSION SCORES FOR INCARCERATED WOMEN. INCARCERATED INDIVIDUALS EXHIBIT A HIGH INCIDENCE OF STRESS-RELATED DISORDERS, INCLUDING ADDICTION AND POSTTRAUMATIC STRESS DISORDER (PTSD), AS WELL AS THE ADDED STRESS OF CAPTIVITY. ACCESS TO STRESS-REDUCTION TOOLS IS LIMITED FOR THESE INDIVIDUALS. ONE POSSIBLE APPROACH MAY BE REGULAR STRUCTURED YOGA CLASSES. USING TWO APPROACHES, WE TESTED THE EFFECTIVENESS OF A BRIEF, INTENSIVE YOGA INTERVENTION IN A POPULATION OF INCARCERATED WOMEN IN A COUNTY JAIL. THE FIRST APPROACH WAS AN EXAMINATION OF ARCHIVAL DATA COLLECTED AS PART OF A PROGRAM ANALYSIS. INDIVIDUALS SHOWED CONSIDERABLE REDUCTION IN SELF-REPORTED STRESS FOLLOWING A SINGLE YOGA SESSION. THE SECOND APPROACH WAS AN EXPERIMENTAL STUDY USING A WEEK-LONG YOGA INTERVENTION. THIRTY-FOUR PARTICIPANTS WERE ASSIGNED TO EITHER THE YOGA OR CONTROL GROUP FOR THE FIRST WEEK. IN THE SECOND WEEK, THE CONDITIONS WERE REVERSED. PARTICIPANTS WERE ASSESSED WEEKLY, BEFORE AND AFTER INTERVENTION. BASELINE SCORES REVEALED HIGH RATES OF DEPRESSION, STRESS, AND EXPOSURE TO TRAUMATIC LIFE EVENTS COMPARED TO NORMATIVE DATA. STRESS AND DEPRESSION WERE ASSESSED USING THE PERCEIVED STRESS SCALE AND BECK DEPRESSION INVENTORY, RESPECTIVELY. COMPARED TO CONTROLS, PARTICIPANTS REPORTED LESS DEPRESSION AFTER A WEEK OF DAILY YOGA SESSIONS. PERCEIVED STRESS DECLINED UNDER BOTH CONTROL AND YOGA CONDITIONS. DUE TO THE TRANSIENT NATURE OF THE JAIL INSTITUTION, IT IS IMPORTANT TO EXAMINE INTERVENTIONS THAT CAN BE PROVIDED ON A SHORT-TERM BASIS. ALTHOUGH THERE WERE LIMITATIONS IN THIS STUDY, THE RESULTS SUPPORT THE CONCLUSION THAT THE BRIEF YOGA INTERVENTION HAD A POSITIVE EFFECT ON PARTICIPANTS' WELL-BEING.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
13  609  67 DEVELOPMENT OF A MODIFIED YOGA PROGRAM FOR PULMONARY HYPERTENSION: A CASE SERIES. BACKGROUND: PULMONARY HYPERTENSION (PH) IS A HEMODYNAMIC CONDITION IN WHICH THE PRESSURE IN THE BED OF THE PULMONARY ARTERIES IS ELEVATED. ALTHOUGH MEDICATIONS HAVE IMPROVED BOTH SYMPTOMS AND MORTALITY, PH REMAINS A DEBILITATING AND DEVASTATING DISEASE. LITTLE IS KNOWN ABOUT THE EFFECTS OF NONPHARMACOLOGIC APPROACHES, SUCH AS YOGA AND MEDITATIVE BREATHING, IN TREATMENT OF THE DISEASE. OBJECTIVE: GIVEN THE UNIQUE HEMODYNAMIC CONCERNS OF PH PATIENTS, THE RESEARCH TEAM INTENDED TO DESCRIBE THE DEVELOPMENT AND SUBSEQUENT INITIATION OF A THERAPEUTIC TREATMENT PLAN THAT USES MODIFIED YOGA AND TO EVALUATE ITS BENEFITS AND SAFETY. DESIGN: THIS STUDY WAS A CASE SERIES WITH 3 PH PATIENTS OF VARYING FUNCTIONAL ABILITIES. EACH PATIENT WAS PROVIDED WITH A DVD, ACCESS TO YOUTUBE VIDEO SEGMENTS, AND A DOWNLOAD OF THE YOGA FOR PH APPLICATION. THE PATIENTS WERE ASKED TO DOCUMENT THEIR USE OF THE HOME EXERCISE REGIMEN AND JOURNAL AROUND THEIR SUBJECTIVE OBSERVATIONS. THEY WERE ALSO ADMINISTERED THE HEALTH PROMOTING LIFESTYLE PROFILE II (HPLPII) AT THE BEGINNING AND END OF THE 8 WK. SETTING: THE STUDY TOOK PLACE IN A TERTIARY CARE, ACADEMIC HOSPITAL IN A LARGE URBAN SETTING. PARTICIPANTS: IN THIS CASE SERIES, 3 PATIENTS WITH GROUP 1 PULMONARY ARTERIAL HYPERTENSION, WITH VARYING FUNCTIONAL ABILITIES, ARE DESCRIBED. INTERVENTION: THREE DISCREET YOGA PROGRAMS WERE DESIGNED WITH MODIFICATIONS SPECIFIC TO PH PATIENTS: CHAIR YOGA, INTERMEDIATE YOGA WITH A CHAIR ASSIST, AND EXPERIENCED YOGA. PATIENTS WERE PROVIDED WITH A VIDEO, YOGA FOR PH, IN THE FORM OF A DVD, A VIDEO ON YOUTUBE, AND A DOWNLOADABLE APPLICATION AND WERE INSTRUCTED TO LOG ACTIVITY AND SUBJECTIVE MARKERS OF WELL-BEING. OUTCOME MEASURES: SUBJECTIVE AND OBJECTIVE EFFECTS ON CLINICAL, PHYSICAL FUNCTION, AND PSYCHOLOGICAL OUTCOMES WERE MEASURED. SUBJECTIVE EFFECTS WERE IDENTIFIED THROUGH JOURNALING AS WELL AS THE SELF-ADMINISTERED QUESTIONNAIRE HPLPII. WHEN AVAILABLE, 6-MIN WALK DISTANCE (6MWD) TESTING AND OXYGEN SATURATION WERE ALSO USED. RESULTS: THE MODIFIED YOGA PROGRAM PROVED FEASIBLE, SAFE, AND EFFECTIVE IN THE 3 DESCRIBED CASES. PATIENTS DESCRIBED DECREASES IN ANXIETY AND JOINT PAIN, WITH IMPROVEMENTS IN HEALTH-PROMOTING BEHAVIORS AS MEASURED BY THE HPLPII. OVERALL MEAN SCORES FOR HEALTH-PROMOTING LIFESTYLE INCREASED IN EACH PATIENT, THOUGH DUE TO THE SMALL SAMPLE SIZE, STATISTICAL SIGNIFICANCE CANNOT BE MEASURED. NO PATIENT EXPERIENCED AN ADVERSE EVENT ASSOCIATED WITH THE PRACTICE. CONCLUSIONS: THE MODIFIED YOGA PROGRAM FOR PH PATIENTS CAN PROVIDE A STANDARDIZED, ACCESSIBLE STARTING POINT FOR FURTHER STUDY ON THE FEASIBILITY, EFFICACY, AND SAFETY OF SUCH A PROGRAM ON A LARGER SCALE.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
14  239  37 A TWO-YEAR FOLLOW-UP CASE OF CHRONIC FATIGUE SYNDROME: SUBSTANTIAL IMPROVEMENT IN PERSONALITY FOLLOWING A YOGA-BASED LIFESTYLE INTERVENTION. BACKGROUND AND OBJECTIVE: CHRONIC FATIGUE SYNDROME (CFS) IS CHARACTERIZED BY EXCESSIVE FATIGUE AFTER MINIMAL PHYSICAL OR MENTAL EXERTION, MUSCLE AND JOINT PAIN, POOR CONCENTRATION, DIZZINESS, AND SLEEP DISTURBANCES. WE REPORT HERE THE EFFECT OF A YOGA-BASED LIFESTYLE INTERVENTION IN A 30-YEAR OLD MALE PATIENT WITH A DOCUMENTED DIAGNOSIS OF CFS WITH COMPROMISED QUALITY OF LIFE (QOL) AND ALTERED PERSONALITY. METHODS: THE PATIENT INITIALLY ATTENDED A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION PROGRAM THAT CONSISTED OF YOGA-POSTURES, BREATHING EXERCISES (PRANAYAMA), MEDITATION, GROUP DISCUSSIONS, AND INDIVIDUALIZED ADVICE ON STRESS MANAGEMENT, DIET AND PHYSICAL ACTIVITY BESIDES GROUP SUPPORT. THEREAFTER, PATIENT ATTENDED 5 MORE SUCH PROGRAMS. RESULTS: THERE WAS A NOTABLE AND CONSISTENT IMPROVEMENT IN HIS CLINICAL PROFILE, POSITIVE ASPECTS OF PERSONALITY AND SUBJECTIVE WELL-BEING, AND REDUCTION IN ANXIETY FOLLOWING THIS YOGA-BASED LIFESTYLE INTERVENTION. CONCLUSION: OVERALL, THE RESULTS SUGGEST THAT LIFESTYLE INTERVENTION MAY IMPROVE CLINICAL CONDITION AND PERSONALITY IN PATIENTS WITH CFS.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
15 1339  65 HOW DOES YOGA WORK ON PAIN DIMENSIONS? AN INTEGRATED PERSPECTIVE IN 2 INDIVIDUALS WITH FIBROMYALGIA. CONTEXT: THE EFFECTIVENESS OF YOGA HAS BEEN STUDIED IN FIBROMYALGIA (FM) USING IMPROVEMENT IN ITS 5 KEY DIMENSIONS-PAIN, QUALITY OF LIFE, SLEEP, DEPRESSION, AND DISABILITY-AS OUTCOME MEASURES. STUDIES HAVE DEMONSTRATED AN IMPROVEMENT IN THE PSYCHOSOCIAL DIMENSIONS OF PAIN AFTER YOGA PRACTICE, BUT THESE FINDINGS FAILED TO REACH STATISTICAL SIGNIFICANCE. ALTHOUGH STUDIES HAVE SHOWN THE EFFICACY OF YOGA IN THE MODULATION OF PAIN, NO STUDY HAS YET INVESTIGATED HOW IT ACTS ON EACH DIMENSION OF PAIN. OBJECTIVE: THE STUDY INTENDED TO INVESTIGATE THE DIMENSIONS OF PAIN-SENSORY, EVALUATIVE, AND/OR AFFECTIVE-AND WHICH PSYCHOLOGICAL COMORBIDITIES-ANXIETY AND/OR DEPRESSION-THAT HATHA YOGA AFFECTS IN INDIVIDUALS WITH FM. DESIGN: THE RESEARCH TEAM PERFORMED 2 CASE STUDIES. SETTING: THE STUDY OCCURRED AT THE GIFT INSTITUTE OF INTEGRATIVE MEDICINE (PISA, ITALY). PARTICIPANTS: PARTICIPANTS WERE 2 PATIENTS AT THE INSTITUTE WHO HAD FM. INTERVENTION: AT BASELINE (T0), PARTICIPANTS WERE PRESCRIBED 8 MO OF PHARMACOLOGICAL TREATMENT. AT 2 MO AFTER BASELINE (T1), THEY PARTICIPATED IN AN 8-H, MIND-BODY, PSYCHOEDUCATIONAL COURSE (PEC) FOR SELF-MANAGEMENT OF CHRONIC PAIN. EACH PARTICIPANT WAS CONTACTED BY PHONE EVERY WEEK FOR 2 MO AFTER THE PEC (IE, UNTIL 4 MO FROM BASELINE (T2). FOR THE NEXT 2 MO, PARTICIPANTS HAD NO CONTACT WITH A HEALTH CARE PRACTITIONER, TO SUSTAIN A DEEPER PEC PROGRAM. PARTICIPANTS THEN TOOK A 2-MO HATHA YOGA PROGRAM FROM MONTHS 6 (T3) TO 8 (T4). OUTCOME MEASURES: SENSORIAL, AFFECTIVE, AND EVALUATIVE DIMENSIONS OF PAIN WERE INVESTIGATED USING THE ITALIAN PAIN QUESTIONNAIRE, AND DEPRESSION AND ANXIETY WERE INVESTIGATED USING THE HOSPITAL ANXIETY DEPRESSION AT T0, T1, T2, T3, AND T4. THE IPQ WAS ADMINISTERED WEEKLY, BEFORE AND AFTER EACH YOGA SESSION. RESULTS: HATHA YOGA PROVED TO BE AN EFFECTIVE MEANS OF RELIEVING PAIN IN FM. IN PARTICULAR, A MEASURABLE IMPROVEMENT IN SCORES OCCURRED FOR THE AFFECTIVE DIMENSION OF PAIN AFTER ONLY 4 YOGA SESSIONS; THIS EFFECT REMAINED STABLE THROUGHOUT THE REMAINDER OF THE PROGRAM. CONCLUSIONS: MONITORING THE AFFECTIVE DIMENSION OF PAIN SHOULD BE INCLUDED IN AN INTEGRATED APPROACH TO PAIN, AND HATHA YOGA MAY BE BENEFICIAL IN THE PAIN MANAGEMENT OF FM PARTICIPANTS.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
16 2586  45 YOGA FOR HYPERTENSIVE PATIENTS: A STUDY ON BARRIERS AND FACILITATORS OF ITS IMPLEMENTATION IN PRIMARY CARE. BACKGROUND: INTERNATIONAL GUIDELINES FOR HYPERTENSION TREATMENT RECOMMEND THE USE OF YOGA, PARTICULARLY AMONG LOW-RISK PATIENTS. HOWEVER, EVIDENCE IS LACKING ON THE IMPLEMENTATION POTENTIAL OF HEALTH-WORKER-LED YOGA INTERVENTIONS IN LOW-RESOURCE, PRIMARY CARE SETTINGS. OBJECTIVE: TO ASSESS BARRIERS TO AND FACILITATORS OF THE IMPLEMENTATION OF A YOGA INTERVENTION FOR HYPERTENSIVE PATIENTS IN PRIMARY CARE IN NEPAL. METHODS: THE STUDY WAS CONDUCTED USING FOCUS GROUP DISCUSSIONS, IN-DEPTH INTERVIEWS, KEY INFORMANT INTERVIEWS, AND TELEPHONE INTERVIEWS. DATA WERE COLLECTED FROM THE 'YOGA AND HYPERTENSION' (YOH) TRIAL PARTICIPANTS, YOH INTERVENTION IMPLEMENTERS, AND OFFICIALS FROM THE MINISTRY OF HEALTH AND POPULATION IN NEPAL. RESULTS: MOST YOH TRIAL PARTICIPANTS STATED THAT: (1) IT WAS EASY TO LEARN YOGA DURING A FIVE-DAY TRAINING PERIOD AND PRACTISE IT FOR THREE MONTHS AT HOME; (2) PRACTISING YOGA IMPROVED THEIR HEALTH; AND (3) GROUP YOGA SESSIONS IN A COMMUNITY CENTRE WOULD HELP THEM PRACTISE YOGA MORE REGULARLY. MOST YOH INTERVENTION IMPLEMENTERS STATED THAT: (1) THEY WERE HIGHLY MOTIVATED TO IMPLEMENT THE INTERVENTION; (2) THE COST OF IMPLEMENTATION WAS ACCEPTABLE; (3) THEY DID NOT NEED ADDITIONAL STAFF TO EFFECTIVELY IMPLEMENT THE INTERVENTION; (4) PROVIDING REMUNERATION TO THE STAFF INVOLVED IN THE INTERVENTION WOULD INCREASE THEIR MOTIVATION; AND (5) THE YOGA PROGRAMME WAS 'SIMPLE AND EASY TO FOLLOW' AND 'EASILY PERFORMED BY PARTICIPANTS OF ANY AGE'. THE GOVERNMENT OFFICIALS STATED THAT: (1) YOGA IS CONSIDERED AS A KEY HEALTH PROMOTIONAL ACTIVITY IN NEPAL; AND (2) THE INTEGRATION OF THE YOGA INTERVENTION INTO THE EXISTING HEALTH CARE PROGRAMME WOULD NOT BE TOO CHALLENGING, BECAUSE THE EXISTING PERSONNEL AND OTHER RESOURCES CAN BE UTILISED. CONCLUSION: WHILE THERE IS A GOOD POTENTIAL THAT A YOGA INTERVENTION CAN BE IMPLEMENTED IN PRIMARY CARE, CAPACITY DEVELOPMENT FOR HEALTH WORKERS AND THE INVOLVEMENT OF COMMUNITY YOGA CENTRES IN THE DELIVERY OF THE INTERVENTIONS MAY BE REQUIRED TO FACILITATE THIS IMPLEMENTATION.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
17 2579  40 YOGA FOR HEALTH-RELATED QUALITY OF LIFE IN ADULT CANCER: A RANDOMIZED CONTROLLED FEASIBILITY STUDY. AN INCREASE IN PATIENT-LED UPTAKE OF COMPLEMENTARY THERAPIES IN ADULT CANCER HAS LED TO A NEED FOR MORE RIGOROUS STUDY OF SUCH INTERVENTIONS AND THEIR OUTCOMES. THIS STUDY THEREFORE AIMED TO EVALUATE THE FEASIBILITY AND ACCEPTABILITY OF A YOGA INTERVENTION IN MEN AND WOMEN RECEIVING CONVENTIONAL TREATMENT FOR A CANCER DIAGNOSIS. PROSPECTIVE, MIXED METHODS FEASIBILITY TRIAL ALLOCATED PARTICIPANTS TO RECEIVE ONE OF THREE YOGA INTERVENTIONS OVER A FOUR-WEEK STUDY PERIOD. DATA COLLECTION WAS COMPLETED THROUGH ONLINE SURVEY OF QOL-CA/CS AND CUSTOMIZED SURVEYS. FIFTEEN PARTICIPANTS WERE INCLUDED (11 FEMALE) UNDERGOING TREATMENT FOR BREAST, PROSTATE, COLORECTAL, BRAIN, AND BLOOD AND LUNG CANCER. TWO PARTICIPANTS DROPPED OUT AND COMPLETE QUALITATIVE AND QUANTITATIVE DATA SETS WERE COLLECTED FROM 12 PARTICIPANTS AND FOUR YOGA INSTRUCTORS. OTHER OUTCOME MEASURES INCLUDED IMPLEMENTATION COSTS PATIENT-REPORTED PREFERENCES FOR YOGA INTERVENTION AND CHANGES IN QOL-CA/CS. THREE TYPES OF YOGA INTERVENTION WERE SAFELY ADMINISTERED IN ADULT CANCER. MIXED METHODS, COST-EFFICIENCY, QOL-CA/CS, AND EVIDENCE-BASED DESIGN OF YOGA INTERVENTION HAVE BEEN USED TO ESTABLISH FEASIBILITY AND PATIENT-PREFERENCES FOR YOGA DELIVERY IN ADULT CANER. RESULTS SUGGEST THAT, WITH SOME METHODOLOGICAL IMPROVEMENTS, A LARGE-SCALE RANDOMIZED CONTROLLED TRIAL IS WARRANTED TO TEST THE EFFICACY OF YOGA FOR MALE AND FEMALE CANCER PATIENTS. THIS TRIAL IS REGISTERED WITH CLINICALTRIALS.GOV NCT02309112.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
18  584  66 DESIGNING, VALIDATION, AND FEASIBILITY OF A YOGA MODULE FOR PATIENTS WITH ANKYLOSING SPONDYLITIS. BACKGROUND: ANKYLOSING SPONDYLITIS (AS) IS A CHRONIC INFLAMMATORY DISEASE THAT CAUSES SIGNIFICANT DISABILITY AND REDUCED QUALITY OF LIFE. SCIENTIFIC STUDIES ON YOGA HAVE REVEALED ITS VARIOUS HEALTH BENEFITS IN CHRONIC CONDITIONS, INCLUDING AUTOIMMUNE DISEASES. HOWEVER, WHETHER YOGA IS FEASIBLE FOR AS PATIENTS OR NOT IS NOT STUDIED. FURTHER, NO VALIDATED YOGA MODULE IS AVAILABLE FOR AS PATIENTS. OBJECTIVE(S): THIS STUDY INTENDED TO DEVELOP A YOGA MODULE FOR AS PATIENTS AND INVESTIGATED ITS FEASIBILITY OF USE. MATERIALS AND METHODS: THE STUDY WAS COMPLETED IN THREE STAGES. IN STAGE I, SIX YOGA EXPERTS PREPARED A LIST OF 64 YOGA PRACTICES BASED ON THE CLASSICAL AND CONTEMPORARY YOGIC LITERATURE REVIEW. OF THESE PRACTICES, 41 WERE INCLUDED IN THE DESIGNED YOGA MODULE. IN STAGE II, 41 EXPERTS WITH A MINIMUM OF FIVE YEARS OF EXPERIENCE IN YOGA THERAPY WERE INVITED FOR YOGA MODULE VALIDATION. THE USEFULNESS OF THE PRACTICES WAS RATED BY EXPERTS ON A 3-POINT SCALE (1: NOT AT ALL USEFUL, 2: MODERATELY USEFUL, AND 3: VERY MUCH USEFUL). THE LAWSHE CONTENT VALIDITY RATIO (CVR) METHOD WAS USED FOR THE CONTENT VALIDITY OF THE YOGA MODULE. PRACTICES WITH A CVR SCORE OF > 0.3 WERE RETAINED IN THE FINAL YOGA MODULE. IN STAGE III, A CERTIFIED YOGA INSTRUCTOR ADMINISTERED THE VALIDATED YOGA MODULE TO 19 AS PATIENTS (AVERAGE AGE: 35.5 +/- 10.7 YEARS) THRICE WEEKLY FOR A MONTH. FEASIBILITY WAS ASSESSED ON THE BASIS OF THE ATTRITION RATE, RETENTION RATE, ATTENDANCE OF THE PARTICIPANTS, AND THE SUBJECTIVE RESPONSE ON PRACTICAL SESSIONS USING A STRUCTURED CHECKLIST. RESULTS: OF THE 41 PRACTICES IN THE MODULE, 31 HAD A CVR SCORE OF > 0.3 AND WERE INCLUDED IN THE FINAL YOGA MODULE. OF THE 25 PARTICIPANTS, 19 (76%) COMPLETED THE STUDY WHILE SIX DROPPED OUT (24%). NINETEEN PATIENTS REPORTED GREATER IMPROVEMENT IN PAIN AND FLEXIBILITY. THEY FOUND YOGA RELAXING AND EASY TO PRACTICE. MOST PARTICIPANTS (65%) WERE ABLE TO PRACTICE A MINIMUM OF 30 MIN/DAY. CONCLUSION: THE PRESENT STUDY OFFERS A VALIDATED YOGA MODULE CONSISTING OF 31 PRACTICES FOR AS PATIENTS. THE RESULTS OF THE PILOT SUGGESTED THAT THE MODULE IS FEASIBLE, ACCEPTABLE, AND EASY TO PRACTICE FOR AS PATIENTS. WE RECOMMEND THAT AS PATIENTS SHOULD PRACTICE THIS YOGA MODULE FOR A MINIMUM OF 30 MIN EVERY DAY UNDER THE SUPERVISION OF A YOGA EXPERT.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
19 1088  37 EFFECTS OF YOGA ON SYMPTOMS, PHYSICAL FUNCTION, AND PSYCHOSOCIAL OUTCOMES IN ADULTS WITH OSTEOARTHRITIS: A FOCUSED REVIEW. OSTEOARTHRITIS (OA) IS A HIGHLY PREVALENT AND DISABLING CHRONIC CONDITION. BECAUSE PHYSICAL ACTIVITY IS A KEY COMPONENT IN OA MANAGEMENT, EFFECTIVE EXERCISE INTERVENTIONS ARE NEEDED. YOGA IS AN INCREASINGLY POPULAR MULTIMODAL MIND-BODY EXERCISE THAT AIMS TO PROMOTE FLEXIBILITY, STRENGTH, ENDURANCE, AND BALANCE. ITS GENTLE APPROACH IS POTENTIALLY A SAFE AND EFFECTIVE EXERCISE OPTION FOR MANAGING OA. THE PURPOSE OF THIS FOCUSED REVIEW IS TO EXAMINE THE EFFECTS OF YOGA ON OA SYMPTOMS AND PHYSICAL AND PSYCHOSOCIAL OUTCOMES. A COMPREHENSIVE SEARCH WAS CONDUCTED USING SEVEN ELECTRONIC DATABASES. TWELVE REPORTS MET INCLUSION CRITERIA INVOLVING A TOTAL OF 589 PARTICIPANTS WITH OA-RELATED SYMPTOMS. A VARIETY OF TYPES, FREQUENCIES, AND DURATIONS OF YOGA INTERVENTIONS WERE REPORTED; HATHA AND IYENGAR YOGA WERE THE MOST COMMONLY USED TYPES. FREQUENCY OF INTERVENTION RANGED FROM ONCE A WEEK TO 6 DAYS A WEEK. DURATION OF THE INTERVENTIONS RANGED FROM 45 TO 90 MINS PER SESSION FOR 6 TO 12 WKS. YOGA INTERVENTION RESULTED IN REDUCTIONS IN PAIN, STIFFNESS, AND SWELLING, BUT RESULTS ON PHYSICAL FUNCTION AND PSYCHOSOCIAL WELL-BEING WERE INCONCLUSIVE BECAUSE OF A VARIETY OF OUTCOME MEASURES BEING USED.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
20 2871  39 YOGA-BASED RELAXATION TECHNIQUE FACILITATES SUSTAINED ATTENTION IN PATIENTS WITH LOW BACK PAIN: A PILOT STUDY. CONTEXT: THE EXPERIENCE OF PAIN STRONGLY INFLUENCES SUSTAINED ATTENTION, WHICH IS IMPORTANT FOR NEUROCOGNITIVE PERFORMANCE. YOGA-BASED RELAXATION TECHNIQUES MAY BE EFFECTIVE IN IMPROVING SUSTAINED ATTENTION BY ATTENUATING PAIN IN PATIENTS WITH LOW BACK PAIN. HENCE, WE AIMED TO INVESTIGATE THE EFFECT OF A YOGA-BASED RELAXATION TECHNIQUE ON SUSTAINED ATTENTION AND SELF-REPORTED PAIN DISABILITY IN PATIENTS WITH LOW BACK PAIN. METHODS: A TOTAL OF 22 MEN AGED 30 TO 50 YEARS WITH LOW BACK PAIN WERE RECRUITED FOR THE STUDY. THEY WERE RANDOMLY ASSIGNED TO EITHER THE YOGA (N = 11) OR CONTROL (N = 11) GROUPS. THE YOGA GROUP PRACTICED A YOGA-BASED RELAXATION TECHNIQUE (YBRT) 1 HOUR A DAY FOR 4 WEEKS AND THE CONTROL GROUP MAINTAINED THEIR USUAL PHYSICAL ACTIVITY REGIMEN. ASSESSMENTS INCLUDED THE SUSTAINED ATTENTION TO RESPONSE TASK (SART) AND THE OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE (OLBPDQ) MEASURED BEFORE AND AFTER THE 4-WEEK INTERVENTION. RESULTS: THE STUDY SHOWED A SIGNIFICANT REDUCTION IN ALL SELF-REPORTED OLBPDQ DOMAINS AND IMPROVEMENT IN SUSTAINED ATTENTION IN A BEFORE AND AFTER COMPARISON 4 WEEKS FOLLOWING THE YOGA INTERVENTION. PEARSON'S CORRELATION ALSO SHOWED A POSITIVE CORRELATION BETWEEN SUSTAINED ATTENTION AND PAIN REDUCTION FOLLOWING THE YOGA INTERVENTION. CONCLUSION: THE FINDINGS INDICATE THAT YOGA PRACTICE REDUCES PAIN AND SIMULTANEOUSLY IMPROVES INFORMATION PROCESSING SPEED WITH IMPULSE CONTROL DURING THE PERFORMANCE OF A SUSTAINED ATTENTION TASK.	2020